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对我院10年间所见青霉素过敏性休克21例加以分析。探讨发病原因,提出应吸取的经验教训,首先应强调严肃、细致的工作作风。皮试本身有一定的危险性,且并不完全可靠,临床上应加强警惕。对注射用具污染微量青霉素的意义加以讨论。附记:本文完稿后,又见1例于肌注青霉素G钾盐40万单位后2小时发生过敏性休克(皮试阴性),血压脉搏皆不可触及。同时有全身皮肤潮红、搔痒及面部浮肿(治疗后恢复)。可见,个别病者过敏性休克亦可延迟发生,值得注意。
21 cases of penicillin anaphylactic shock seen in our hospital for 10 years to be analyzed. To explore the causes of the disease, put forward the lessons should be learned, first of all should be stressed serious and meticulous work style. Skin test itself has a certain degree of risk, and not entirely reliable, should be vigilant in clinical practice. The significance of the contamination of penicillin by injection equipment is discussed. Note: After the completion of this article, see also one case of intramuscular injection of penicillin G potassium 400,000 units after 2 hours of anaphylactic shock (skin test negative), blood pressure pulse are not accessible. At the same time there is systemic flushing, itching and facial edema (recovery after treatment). Can be seen that individual patients with anaphylactic shock can be delayed, it is noteworthy.